Jessica Susan Ferguson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2023016580 Issued in MO

Practice address

4006 Bayless Ave
Saint Louis, MO 63125-1314

Phone

(314) 631-5550

Fax

(314) 631-5557

NPI assigned

May 4, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Back on Track Chiropractic, LLCGroup PAC ID 6406921246, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Back on Track Chiropractic, LLC

  • Chiropractor
  • Labadie, MO
  • NPI 1104080688
  Medicare reassignment Care Compare group NPD
• Affton Lemay Chiropractic Center LLC

  • Chiropractor
  • Saint Louis, MO
  • NPI 1205000106
  Medicare reassignment NPD
• Back on Track Eureka, LLC

  • Chiropractor
  • Eureka, MO
  • NPI 1417747783
  NPD (past)
• Chiropro of Eureka, LLC

  • Chiropractor
  • Eureka, MO
  • NPI 1801464763
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1609565746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 BAYLESS AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631251314",
            "telephone_number": "314-631-5550",
            "fax_number": "314-631-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4006 BAYLESS AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631251314",
            "telephone_number": "314-631-5550",
            "fax_number": "314-631-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "JESSICA",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2023016580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Ferder, PHARM.D.
• Carly Ferdman
• Edward Wayman Ferguson Jr., MD
• Emily Marie Ferguson, AU.D.
• Ian Thomas Ferguson
• Joan R Ferguson
• Jordan Ferguson
• Joseph Paul Ferguson, DDS
• Julie R Ferguson, D.O
• Keith Timothy Ferguson, M.D.

• Chiropractor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.